Provider Demographics
NPI:1497827000
Name:ISHOOF, SABRIYA B (MD)
Entity Type:Individual
Prefix:DR
First Name:SABRIYA
Middle Name:B
Last Name:ISHOOF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8525 SW 92 STREET
Mailing Address - Street 2:SUITE D-16
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156
Mailing Address - Country:US
Mailing Address - Phone:786-401-6562
Mailing Address - Fax:786-212-1406
Practice Address - Street 1:8525 SW 92ND ST STE D16
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7378
Practice Address - Country:US
Practice Address - Phone:786-401-6562
Practice Address - Fax:786-212-1406
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98193174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001775300Medicaid
FL1496JOtherBCBS OF FL